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CASE REPORT - Addressing Nurse Shortage
CASE REPORT - Addressing Nurse Shortage
NUR 209
Case Report:
Presented by:
Presented to:
CHAPTER 1 2
INTRODUCTION 2
CHAPTER 2 4
CORE VALUES 5
VISION 5
MISSION 5
ORGANIZATIONAL STRUCTURE 6
LOCATION 7
CATCHMENT AREAS 7
FUTURE PROSPECTIVE 7
CHAPTER 3 11
CONCLUSION 11
RECOMMENDATION 14
BIBLIOGRAPHY 18
CURRICULUM VITAE 19
2
CHAPTER 1
INTRODUCTION
Nursing has always been used synonymously and interchangeably with caring and
promoting comfort. Nurses are those who are responsible for maintaining and
ensuring that the highest quality of care is rendered. However, the responsibilities
and workload of nurses are not only limited to bedside care, but it is also far more
complicated. They are in the front line, tending to the sick throughout the shift,
supervisor. In their daily lives, nurses are faced and bombarded with tasks of
commitment. The challenge is that they are expected and required to maintain the
highest of care despite these said tasks and responsibilities the nurses are carrying
in their shoulders. The roles of nurses are becoming more visible, appreciated, and
addressed during times of scarcity. Even though nursing is one of the largest groups
prevalent. A nursing shortage occurs when the demand for competent nursing
professionals exceeds the supply of qualified nurses. Ironically, as the top exporter of
nurses in the world, the health care setting in this country is still facing the challenge
of this crisis.
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DEFINING THE CENTRAL PROBLEM
The issue of a nurse shortage is not new to the healthcare industry, and there are
numerous, serious causes for concern. Furthermore, it burns in critical and intensive
care units, where the strain is tremendous and nurses are at a higher risk of burnout.
Nurse shortages have a detrimental influence on more than just nurses. It also has
Allied Care Experts (ACE) Medical Center - Tacloban, Inc. is a respected Level 2
Private Hospital that serves a diversified population in an urban area that extends
throughout Region VIII, which includes six provinces. Due to variables such as rising
restricted pool of available nurses in the region, the hospital has struggled with a
shortage of registered nurses (RNs) over the past few years. This deficit has resulted
in compromised patient care and exhaustion among current nursing staff. The
this situation.
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CHAPTER 2
INTERNAL ENVIRONMENT: Strengths and Weaknesses
STRENGTHS:
WEAKNESSES:
● Shortage of RN staff
CORE VALUES
A - Altruism
C - Compassion
E - Excellence
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VISION
MISSION
● To ensure lifelong learning to keep abreast with the current trends in nursing
ORGANIZATIONAL STRUCTURE
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EXTERNAL ENVIRONMENT: Threats and Opportunities
THREATS:
OPPORTUNITIES:
● Staffing committees
● New legislation
LOCATION
ACEMC Tacloban is located in Barangay 78, Marasbaras, Tacloban City, Leyte,
Region VIII.
CATCHMENT AREAS
Whole area of Region VIII - which includes Leyte, Samar and Biliran
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FUTURE PROSPECTIVE
Active participation in DOH-related activities that may boost the hospital’s recognition
nurses, trainers, and educators– whether inhouse or external sources that will deliver
inspiration and powerful workmanship amongst the nurse community in ACE Medical
will bring pride and achievement to its respective units or wards. To build a band of
Overview
supporting efforts that assist freshly minted nurses in seamlessly transitioning into
experienced nurses as well, with the goal of both attracting new nurses and retaining
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Detailed Implementation
Program Development:
● Offer several tracks to tailor the training to the individual needs of fresh
Clinical Rotations:
Educational Workshops:
● Organize regular workshops led by both internal and external experts. These
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Professional Development:
degree scholarships.
Retention Strategies:
● Extend the program to existing nurses within the hospital who may be
Benefits:
transition to practice.
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Retaining Experienced Nurses: The program provides a chance for
for growth, the program can help alleviate burnout among existing nurses.
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CHAPTER 3
CONCLUSION
intensive care units in particular. Still, the problem can be addressed in case the
weaknesses, opportunities, and threats, both internal and external and address them
attention to strengths and opportunities allow improving the situation with nurse
shortage through the creation of more favorable work conditions and stimulation of
professional development.
In conclusion, the case study of nurse shortage in the hospital highlights a critical
issue that has far-reaching implications for patient care, nurse well-being, and overall
healthcare system functionality. Throughout the analysis, several key points have
Firstly, the case study underscores the undeniable impact of nurses on patient
and high-quality care to patients. This can result in medical errors, delayed
nurse staffing may experience higher rates of patient complications and increased
such conditions. Chronic understaffing leads to increased stress, burnout, and job
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dissatisfaction among nurses. As they struggle to manage heavy workloads, their
physical and mental health suffers, ultimately leading to higher turnover rates and a
shortage of experienced nurses in the long term. This cyclical pattern perpetuates
the problem and creates a vicious cycle that hampers the hospital's ability to provide
The case study also highlights the broader systemic challenges that contribute to
fluctuating patient volumes can all contribute to the staffing crisis. Hospitals must
needs and adjusting nurse staffing levels accordingly. This involves real-time
Furthermore, hospitals should invest in strategies to retain their nursing staff. This
support programs for stress management can significantly improve nurse morale and
job satisfaction.
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In conclusion, the case study of understaffed nurses in the hospital underscores the
urgent need for a holistic approach to address this critical issue. By recognizing the
profound impact on patient care quality, nurse well-being, and the healthcare system
care while also valuing and supporting the dedicated nurses who form the backbone
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RECOMMENDATION
Develop a robust workforce planning strategy that aligns nurse staffing levels with
patient acuity and volume. This involves using data analytics to predict peak
pipeline for new nursing graduates. Offer internship programs and scholarships to
Conduct a thorough analysis of nurse salaries in the region and ensure that your
hospital offers competitive compensation packages. This can include base pay, shift
ensure they feel supported and confident in their roles from the beginning.
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Offer opportunities for career advancement, including pathways to specialty
Flexible Scheduling:
support, and work-life balance. Provide access to counseling services and wellness
resources.
Create designated spaces for relaxation and recharge within the hospital for nurses
during breaks.
Technology Integration:
systems and nurse call systems to streamline workflows and reduce administrative
burdens on nurses.
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Implement telehealth platforms to provide remote consultations, reducing the need
Conduct regular feedback sessions to address concerns and gather insights from
Community Engagement:
Engage with the local community through awareness campaigns and recruitment
a nursing career.
Data-Driven Decision-Making:
Continuously monitor and analyze nurse turnover rates, patient outcomes, and
staffing levels. Use this data to make informed decisions and refine your strategies.
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Advocacy and Policy Initiatives:
Engage with local and national policymakers to raise awareness about the critical
strategy to alleviate the nurse shortage, enhance patient care, and create a more
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BIBLIOGRAPHY
Ferrer, J., Boelle, P., Salomon, J., Miliani, K., L’Hériteau, F., Astagneau, P., &
Temime, L. (2014). Management of nurse shortage and its impact on pathogen
dissemination in the intensive care unit. Epidemics, 9, 62-69. Web.
Pastores, S., & Kvetan, V. (2015). Shortage of intensive care specialists in the United
States: Recent insights and proposed solutions. Revista Brasileira De Terapia
Intensiva, 27(1), 5-6. Web.
Sawatzky, J., Enns, C., & Legare, C. (2015). Identifying the key predictors for
retention in critical care nurses. Journal of Advanced Nursing, 71(10), 2315-2325.
Web.
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CURRICULUM VITAE
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SHANDY MAE E. DE LA CRUZ, RN
+63 945 354 7562 | shen.delacruz.swu@phinmaed.com |
1080 Don Pio Pedrosa St., St. Michael, Palo, Leyte 6501
PROFESSIONAL SUMMARY
Proven ability to provide direct patient care in a fast-paced environment. Calm and level-headed
with the ability to handle difficult patients and high-stress situations. Use strong verbal communication
skills and humor to develop strong relationships with patients and their families.
EDUCATION
EXPERIENCE
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● Assist team leaders and members in liaising between healthcare professionals, doctors and
allied healthcare p[professionals to ensure appropriate medical care is provided to all
patients.
● Ensure that appropriate consent is obtained and maintained for patients undergoing relevant
medical treatment.
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ARCHIE B. JAVIER, RN
+63 966 479 8711 | arbe.javier.swu@phinmaed.com |
158-P Calanipawan Road, Tacloban City, 6500
Leyte, Philippines 6500
PROFESSIONAL SUMMARY
For the past four years, I have worked as a certified and experienced Infection Prevention and
Control Nurse. My job entails epidemiology and surveillance. I started as an Operating Theatre
nursing for 2 years in a level 3 DOH-accredited hospital after working as a General OPD Nurse for 6
years in a prestigious JCI-accredited hospital where I polished my endoscopy and interventional
cardiology nursing abilities.
EDUCATION
Masters in Arts of Nursing - Nursing Service Administration 2022-present
Southwestern University PHINMA
Cebu City, 6000, Philippines
EXPERIENCE
Infection Prevention and Control Nurse / Disease Surveillance Officer (Jan 2019 - Present)
Allied Care Experts Medical Center - Tacloban, Inc.
Brgy. 78, Marasbaras, Tacloban City, 6500, Leyte
● Formulates, updates and ensures implementation infection prevention and control policies,
guidelines and procedures
● Disseminates information and coordinates effectively with all departments, sections and
services of the hospital and other appropriate government agencies for the implementation of
IPC
● Organizes and provides training and guidance to the hospital IPC Unit, which is responsible
for the day-to-day IPC activities
● Designs and implements and/or outsources the training and orientation of all health personnel
on IPC.
● Reviews, approves and submits mandatory healthcare facility reports on IPC to the DOH
Regional Health Office.
● Monitors COVID19 activities, swab results, allocation of COVID19 rooms, contact tracing and
disposition of healthcare workers according to their symptomatology
● Ensures safety of hospital staff, healthcare workers and patients alike with IPC protocols on
pre-employment policy, housekeeping policy, environmental cleaning and disinfection for
different areas (eg. isolation room, operating room, ICU and other high-risk units, specific
patient care areas, regular/ward room etc.)
Multispecialty OPD Clinic General Nurse (March 24, 2012 – March 23, 2018)
Dr. Sulaiman Al Habib Hospital
Building No. 55, P.O. Box: 505005, Dubai HealthCare City
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Treatment Room Nurse
● Performs venipuncture according to local guidelines as well as vaccines and injections given
accordingly as per doctor’s orders either as single dose order or with standing orders.
● Documents interventions and procedures according to institution’s guidelines and policies
● Performs Electrocardiograms – (ECG), assists in the provision of minor surgery
Staff Nurse I (2 years and 11months: January 12, 2009 – December 15, 2011)
Type of Company: Private, Hospital by UCCP
Name of Company: Bethany Hospital
Address: Real Street, Tacloban City, 6500, Philippines
SKILLS
● Effective oral and written communication skills
● Facilitation skills
● Problem solving abilities
● Analytical and critical thinking
● Proficiency in the use of various computer software packages to analyze statistics and write
reports
● Ability to work in a multi-disciplinary team as well as independently.
CERTIFICATIONS
● Basic Life Support (BLS)
American Safety and Health Institute November 2022
● Advanced Cardiac Life Support (ACLS) November 2022
American Safety and Health Institute
● Basic Competency Training Course for Infection Control Nurses May 2019
Philippine Infection Control Nurses Association
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HAPPY MAE VILLAMOR-MACATO, RN
+63939 583 0810 | havi.macato.swu@phinmaed.com
Urbanest Residences Don Julio Street, Barangay 109 V & G Subd. Tacloban City,
Leyte, Philippines 6500
PROFESSIONAL SUMMARY
● A registered nurse of more than 10 years with work experience both in the country and
overseas.
● With experience mostly as an Emergency Room Nurse, equipped with trainings and
certificates
● Newbie in the field of Nursing Service administration
EDUCATION
MAN-NSA Ongoing
Southwestern University
Cebu City
BS NURSING
Remedios Trinidad Romualdez Medical Foundation
Tacloban City Leyte
Year Graduated: 2008
EXPERIENCE
CERTIFICATIONS
REGISTERED NURSE
Professional Regulations Commission
License no: 0538700
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CHERY MAE C. RIPALDA, RN
+ 63 956 497 7323 | chca.ripalda.swu@phinmaed.com
Brgy. IV, McArthur Street, Tabontabon, Leyte, Philippines, 6504
PROFESSIONAL SUMMARY
Experienced healthcare professional with a proven track record of dedicated service as a nurse at
King Salman Hospital for 6 years, followed by a successful transition to the role of Quality Assurance
Officer at ACEMC-Tacloban for 3 years. Profoundly skilled in patient care, clinical assessments, and
interdisciplinary collaboration, demonstrated by years of frontline experience in a high-volume hospital
environment. Adept at leveraging comprehensive medical knowledge to provide optimal patient
outcomes while ensuring adherence to established healthcare protocols and standards. As a Quality
Assurance Officer, adept at applying meticulous attention to detail to evaluate, enhance, and monitor
organizational processes, thereby driving continuous improvement and upholding regulatory
compliance. Exceptional communicator and team player, adept at fostering positive relationships with
colleagues, stakeholders, and patients. Seeking new opportunities to leverage this diverse expertise
in healthcare and quality assurance to contribute effectively to a dynamic healthcare setting.
EDUCATION
COLLEGE
Name of School: Remedios Trinidad Romualdez Medical Foundation
Address: Calanipawan Road, Tacloban City
Course: Bachelor of Science in Nursing
Year Graduated: SY 2005-2009
HIGH SCHOOL
Name of School: Notre Dame of Dukay
Address: Dukay, Esperanza, Sultan Kudarat
Year Graduated: SY 2001-2005
EXPERIENCE
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● Monitor invasive monitoring systems including central lines, intracranial pressure monitoring
systems.
● Documents care, observe physical and emotional symptoms and changes according to
hospital policy and procedure.
● Utilizes teaching strategies to effectively meet the learning needs of nursing interpreters,
other staff members, patients and
● families.
SKILLS
CERTIFICATIONS/ TRAININGS
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